How does informal caregiving affect daughters’ employment and mental health in Japan?

Oshio, Takashi; Usui, Emiko

doi:10.1016/j.jjie.2018.01.001

Cited by 10 publications

(15 citation statements)

References 31 publications

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“…Second, although recent studies have started using longitudinal data to examine how caregiving affects employment with more elaborate estimates, these remain limited in number, and their findings have been mixed. For example, using the Panel Survey on Middle-Aged Persons, Fukahori et al (2015) found a significant negative effect of having a co-resident family member who needs care on married persons’ employment, while Oshio and Usui (2017), using the Japanese Study of Aging and Retirement, found that parental care in general has little impact on middle-aged women’s employment (see also Oshio & Usui, 2018). Ohtsu and Komamura (2012) found that having a co-resident parent who needs care has a more negative effect on the work status of married women for higher levels of disability in co-resident parents.…”

Section: Introductionmentioning

confidence: 99%

Parental Caregiving and Employment among Midlife Women in Japan

Kikuzawa

Uemura

2020

Res Aging

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In this paper, we examine how parental caregiving affects women’s employment in Japan. Drawing on the 2005–2014 Longitudinal Survey of Middle-Aged and Elderly Persons, we estimate logistic regression models for the employment status of middle-aged women in various types of employment as a function of caregiving intensity to examine when and in what context caregivers’ employment may be at risk for Japanese women. The results showed that working women who began providing 5 or more hours of care per week were significantly more likely to leave their jobs than non-caregiving women; those who began providing fewer than 5 hours of care per week did not show this likelihood. Among women in regular employment, those who began to provide 5 or more hours of care per week and those who provided care in the previous year were more likely to stop working or change jobs than their non-caregiving counterparts.

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Section: Introductionmentioning

confidence: 99%

Parental Caregiving and Employment among Midlife Women in Japan

Kikuzawa

Uemura

2020

Res Aging

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“… 27 A linear probability model with the onset of SCC as the outcome was used to improve interpretability. 28 , 29 We calculated the β coefficient with a 95% confidence interval (CI) to investigate how changes in oral status affected the probability of onset of SCC. The following equation was used to calculate the β coefficients.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal Association Between Oral Status and Cognitive Decline Using Fixed-effects Analysis

Kiuchi

Kusama

Sugiyama

et al. 2022

Journal of Epidemiology

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Background: Although the feasibility of randomized trials for investigating the long-term association between oral health and cognitive decline is low, deriving causal inferences from observational data is challenging. We aimed to investigate the association between poor oral status and subjective cognitive complaints (SCC) using fixed-effects model to eliminate the confounding effect of unobserved time-invariant factors. Methods: We used data from Japan Gerontological Evaluation Study (JAGES) which was conducted in 2010, 2013, and 2016. β regression coefficients and 95% confidence intervals [CIs] were calculated using fixed-effects models to determine the effect of deteriorating oral status on developing SCC. Onset of SCC was evaluated using the Kihon Checklist-Cognitive function score. Four oral status variables were used: awareness of swallowing difficulty, decline in masticatory function, dry mouth, and number of teeth. Results: We included 13,594 participants (55.8% women) without SCC at baseline. The mean age was 72.4 (standard deviation[SD], 5.1) years for men and 72.4 (SD, 4.9) years for women. Within the 6-year follow-up, 26.6% of men and 24.9% of women developed SCC. The probability of developing SCC was significantly higher when participants acquired swallowing difficulty ( β = 0.088; 95% CI, 0.065-0.111 for men and β = 0.077; 95% CI, 0.057-0.097 for women), decline in masticatory function ( β = 0.039; 95% CI, 0.021-0.057 for men and β = 0.030; 95% CI, 0.013-0.046 for women), dry mouth ( β = 0.026; 95% CI, 0.005-0.048 for men and β = 0.064; 95% CI, 0.045-0.083 for women), and tooth loss ( β = 0.043; 95% CI, 0.001-0.085 for men and β = 0.058; 95% CI, 0.015-0.102 for women). Conclusions: The findings suggest that good oral health needs to be maintained to prevent the development of SCC, which increases the risk for future dementia.

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“…Similarly, employment status has a significant deterrent effect on care provision, with different consequences according to the type of previous work, type of care, and gender [17]. Studies also report the opposite causal direction, whereby care provision affects employment [13,18].…”

Section: Determinants Of Care Provisionmentioning

confidence: 99%

“…Another important aspect to consider regarding the determinants of care provision is access to formal care, in which the costs and quality of care are significant issues [13]. Relatedly, signed the terms and conditions with the Research Institute of Economy, Trade and Industry, which provided the JSTAR dataset.…”

Section: Determinants Of Care Provisionmentioning

confidence: 99%

“…As of 2016, either co-residing adult children or non-co-residing relatives, which presumably includes the children of care recipients, accounted for one-third of elderly care cases in Japan [12]. In addition, studies emphasize the importance of the role of adult children as caregivers for parents in the Japanese context with the cultural tradition of eldest sons and their spouses taking care of elderly parents [13].…”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic status and the likelihood of informal care provision in Japan: An analysis considering survival probability of care recipients

Ibuka

Ohtsu

2021

PLoS ONE

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Studies show that the burden of caregiving tends to fall on individuals of low socioeconomic status (SES); however, the association between SES and the likelihood of caregiving has not yet been established. We studied the relationship between SES and the likelihood of adults providing long-term care for their parents in Japan, where compulsory public long-term insurance has been implemented. We used the following six comprehensive measures of SES for the analysis: income, financial assets, expenditure, living conditions, housing conditions, and education. We found that for some SES measures the probability of care provision for parents was greater in higher SES categories than in the lowest category, although the results were not systematically related to the order of SES categories or consistent across SES measures. The results did not change even after the difference in the probability of parents’ survival according to SES was considered. Overall, we did not find evidence that individuals with lower SES were more likely to provide care to parents than higher-SES individuals. Although a negative association between SES and care burden has been repeatedly reported in terms of care intensity, the caregiving decision could be different in relation to SES. Further research is necessary to generalize the results.

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How does informal caregiving affect daughters’ employment and mental health in Japan?

Cited by 10 publications

References 31 publications

Parental Caregiving and Employment among Midlife Women in Japan

Parental Caregiving and Employment among Midlife Women in Japan

Longitudinal Association Between Oral Status and Cognitive Decline Using Fixed-effects Analysis

Socioeconomic status and the likelihood of informal care provision in Japan: An analysis considering survival probability of care recipients

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